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CHAIN OF CUSTODY <br /> ql 64 ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> FTEST DESCRIPTION AND ANALYSES REQUESTED <br /> ;Client: Live Oak GeoEnvironmental <br /> :Customer Number: 3016605 I s ! <br /> 'Address: 407 W.Oak St. <br /> Lodi,CA 96240 <br /> Phone: (209)369-0375 Fax: E i <br /> Email Address: abby@logelodi.com g <br /> Contact Person: Abby Racco S i <br /> project Name:LaPierre,3231 E.Spiess Rd.,Acampo, CA), <br /> Purchase Order Number: 3 v <br /> 32! <br /> Quote Number: 0 <br /> 1 <br /> SamplcAs): <br /> Ei i <br /> Sampling Fee: Pickup Fee: g y y ? 3 X I�, t <br /> B z <br /> Compositor Semp Date: _ Time: c i <br /> Samp — Location Description Date Time u' }.► <br /> Num I , Sampled Sampled as W <br /> i <br /> I <br /> 0 Travel Blank (p Ig )II!: G 2 G X <br /> S ` G 3 P/G P [DW --0 X X <br /> 1 Domestic Well (0-18 /9 6 11'•� SRC <br /> I � <br /> . . <br /> 73. . . . . . . . . . <br /> Remarks Relinquished Date: 1�j Time: Relinquished Date: Time: Relinquished Date: Time: <br /> e+1� Z 12, <br /> DayD <br /> Received By: Da Time: Received By: Date: Time: Received By: Date: Time: <br /> 01 LA I 1240 (Ig <br /> Co (1c, <br /> Corporate Offices b LeboretoryOffice Laboratory Office&Laboratory Field Office <br /> 853 Corporation Street 2500 S gecoach R d 563 E.Undo Avenue Visalia,Califomia <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chlco,CA 95926 TEL:559!734-9473 <br /> TEL:805!392-2000 TEL:209t942-0182 TEL:530/343-5818 Mobile:5591737.2399 <br /> FAX:8051525-0172 FAX:209/942-0423 FAX:530/343-3807 FAX:559/734-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />